# 在呼吸評估期間，護理師聽到錄音中的聲音。護理師應記錄哪項描述？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=604456&lang=zh-tw  
> language: zh-TW  
> subject: Medical Emergencies  
> category: PA

## 題目

在呼吸評估期間，護理師聽到錄音中的聲音。護理師應記錄哪項描述？

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🎧Respiratory auscultation recording

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1

周邊肺野的柔和肺泡呼吸音

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2

連續性音樂性喘鳴，在呼氣時最為明顯

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3

不連續的吸氣性囉音

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4

符合喘鳴音（stridor）的粗糙上呼吸道聲音

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## 解析

錄音呈現連續性音樂性喘鳴。喘鳴是氣流通過狹窄氣道所產生，通常在呼氣時較為明顯。

## 深入解析

快速解答
記錄連續性音樂性喘鳴，在呼氣時最為明顯。
臨床推理
錄音為連續性且具音樂性。喘鳴可能伴隨多種情況出現，因此評估應描述聲音及其階段，而非僅憑音檔判斷疾病名稱。
音檔出處
James Heilman, MD；降噪衍生版本由 Natural Philo 製作 · CC-BY-SA-3.0
**參考資料**
- NCBI Bookshelf — Nursing Skills: Respiratory Assessment

- 音檔來源與授權記錄

## 重要概念

- **Wheeze** — 氣流通過狹窄氣道所產生的連續性音樂性呼吸音。
- **Expiration** — 空氣從肺部排出的呼吸階段。

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